HomeMy WebLinkAboutBuilding Permit 10-0089 ATE TIME
CITY OF PRIOR LAKE
INSPEC710N NOTICE SCHEDULED
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ADDRESS ,� � `► � � _�
OWNER CONTR.
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PHONE NO. PERMIT NO. �G " ���
❑ FOOTING O PLUMBING RI ❑ EX/GRADIFILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
�FiNAL ❑ PLUMBING FINAL O GASLINE AIR TST
�O SITE INSPECTiON ❑ MECH FINAL ❑
COMMENTS:
i CP .� �
�WORK SATISFACTORY, PROCEED
❑ CORRECT ACTlON AND PROCEED
❑ CORREC O LL FOR REINSPECTION BEFORE COVERING
Inspector: OwnedContr:
CAL 44 9 50 FO THE NEXT INSPECTION 24 HOURS tN ADVANCE.
COD E ENTSARE FOR YOUR PERSONAL HEALTH dc SAFETY!
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PRI CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
°� �� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
.� . �s c Z Z Z. l �
� _ " °�,_. � AND UTILITY CONNECTION PERMIT
V ' r l�7
M��'NESD�P � Wh��e File pERMIT NO.
2 Pmk Crty /O � O R
3 Yellow Apphcant � V
(Please e or rint and si at bottom)
ADDRESS ZONING (ot�'ice use)
�y/ /�t�y�vos�rs��r-1 G'% s '-� /2 /51�
LEGAL DESCRII'TION (office use only)
LOT BLOCK ADDITION PID
OWNER �
(Name) ����R'c�—��—�y/ �uiTAR� (Phone) 9� — S/�D-293.3
� 93z . �,39, u 90-�'
(Address)
BUII..DER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace
❑Addition ❑Altera ❑Utility Connection '
CODE: ❑I.R.C. ❑I.B.C. 0 Misc.
Type of Construction: I II III N V A B pROJECT COST/VALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
I hereby certdy that I have ished for on on th�s applicatton whuh is ro the best of my knowledge true and correct I also cerhfy that 1 am the ownrr or authonzed agent for the
above-menuoned prope and th tnicnon will conform to all ex�shng state and local laws and w�ll proceed in accordance w�th subm�tted plans I am aware that the buildmg
official can revoke t rmrt s ise urthermore, I hereby agree that the city official or a designee may enter upon the property ro perform needed m echo s
X . 2 Z2 /s! .. ..
Signature Contractor's License No. Date�
Permit Vaivation �.�� Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ ��•� Water Meter Size 5/8"; 1"; $
State Surcharge $ � Q � Pressure Reducer �� $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DiTE �v $
T' Ap c o ecome our Building Pernut When Approved Paid � ReCei o. �
Date B
� � 2
Bm dm � fticial ate
This �s to cert�fy that the request m the above applicanon and accompanying documents is m accordance w�th the City Zomng Ordmance and may proceed as requested. This document
when signed by the Gty Planner constitutes a temporary Certificate of Zonmg compliance and allows construcnon to commence Before occupancy, a Certificat� of Occupancy must be
issued
Planning D'uector Date Special Conditions, if any
24 hour notice for all inspections (9S2) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
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i2.t �� R° 80. q�I s
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Property CS�wner D��e ��.� 50 � f � 9
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Diag.: 80 x 44 = 89.44 � � / �� ; . � �
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Lot 19. B�odc 3, W�dernaas Ponds Secflnd' Additlon, Scott County, Mi�ne�t �
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� h�►sby eKtify thQt thie wrvay. plan. er repa�t rraa propared by me or undar rs�y �. � ��, �
d�t sup�tvhEat and that 1 am a duly Regtstered Land Su►+�eyar under the laws �� ��Y�b
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DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS __ .JI't"� I�V�ING��� �
TYPE OF WORK �K•
USE OF BUILDfNG
PERMIT NO. � DATE ISSUED 2. Z,Z, .�
BUILDER �U/T�I� PHONE #�+
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS B OW
THE PERMtT IS BY SEPARATE DOCUMENT
INSPECTOR � DATE
FOOTING � '� 3 f�
PLACE NO CO�iCRETE UNT1L ABOVE HAS BEEN SIGNED
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FINAL �o � �J
FOR ALL INSPECTIONS (952) 447-9850
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